Individual provider · Type 1 NPI

Kenneth Medlock, LCDC, CEAP

Addiction (Substance Use Disorder) Counselor · Houston, TX

NPI number 1396458899 Active

Practice location

9950 Town Park Dr Apt 1202
Houston, TX 77036-2356

Call (832) 754-8001 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X33084 (TX)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5845 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396458899

Kenneth Medlock, LCDC, CEAP's National Provider Identifier is 1396458899, issued on Dec 29, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Dec 29, 2022.